ENIOLA AYOOLA, P.A. — NPI 1972786358 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical in SUMMERFIELD, FL)

CMS-1500 Box 24J / 33a • NPI

1972786358

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363AS0400X (CMS 97)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical

Box 32 Service Location & ZIP+4

10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL, 34491-8682

✓ 9-Digit EDI 837 ZIP+4 (34491-8682)

Practice Phone & Referral Fax

(352) 307-9925

Fax: (352) 307-8442

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972786358 (ENIOLA AYOOLA, P.A.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1972786358` (NPI-1 Individual Practitioner)
Provider / Legal Name	ENIOLA AYOOLA, P.A.
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical NUCC Code: `363AS0400X` (Physician Assistant, Surgical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL, 34491-8682
Practice Telephone / Fax	Tel: (352) 307-9925 \| Fax: (352) 307-8442
Administrative Mailing Address	10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL, 34491-8682
Enumeration & Last Sync	Enumerated: 2007-12-09 \| CMS Record Updated: 2022-07-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL, 34491-8682

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Plain-English Taxonomy & CMS Crosswalk (363AS0400X)

What Does Taxonomy Code 363AS0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AS0400X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant, Surgical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ENIOLA AYOOLA, P.A.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363AS0400X` — Physician Assistant, Surgical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical	State: FL \| License: `pa9104349` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ENIOLA AYOOLA, P.A. (NPI #1972786358)